NPI age
16 years
Enumerated 2009-08-20
Across 20 active preventive medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 025904 | KRMC L&I GROUP NUMBER |
| 05 (WA) | 1417189671 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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